Organization Active NPI

New Life Counseling Services LLC

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1063828432
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2007028586 Issued in MO
Legal business name
NEW LIFE COUNSELING SERVICES LLC
Practice address
3350 W Katella CT
Springfield, MO 65807-3849
Phone
(417) 536-6058
Fax
(417) 883-2403
NPI assigned
Jul 7, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Curtis Leigh Jones Jr., LCSWNPI 1144482464
Title
Owner/ LCSW
Phone
(417) 536-6058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2007028586 MO Primary

Addresses

Primary practice location

3350 W Katella CT
Springfield, MO 65807-3849

Mailing address

3350 W Katella CT
Springfield, MO 65807-3849
Phone (417) 536-6058

Other identifiers 1

IdentifierTypeStateIssuer
1144482464MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000897 MO Part B Supplier - Clinic/Group Practice 4587889241 Receives reassigned benefits from 1 practitioner
Practice locations: Marshfield, MO; Ozark, MO; Springfield, MO

National Provider Directory

National Provider Directory

Locations

1134 W Norton Rd
Springfield, MO 65803
Phone (417) 766-9674

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1063828432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 W KATELLA CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073849",
            "telephone_number": "417-536-6058",
            "fax_number": "417-883-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W KATELLA CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073849",
            "telephone_number": "417-536-6058",
            "fax_number": "417-883-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "417-536-6058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007028586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144482464",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.